Spectrum Health Remote jobs - 49 jobs

9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of America Compensation Pay Range: Minimum Offer $: 72134.4 is up to $: 110136 Now hiring a Data Analyst - Remote Eligible Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Data Analyst to perform data research, analysis, prepare reports to communicate results, and support development of appropriate reporting/analytics solutions. Analyze and synthesize related and seemingly unrelated data into an audience appropriate story to support the business initiatives, accreditation, and regulatory compliance. Act as a data steward and maintain the analytical foundation through business definitions and design of data marts to ensure integrity and reliability of analytics. Serve as a liaison with internal business units and external entities to support reporting/analytics efforts. Type of Opportunity: Full time Job Exempt: Yes Job is based : Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America) Responsibilities: Preferred Skills and Experience: Previous work experience with medical groups and/or multi-clinics operational data is preferred Knowledge of healthcare code set including but not limited to CPT, ICD10, Diagnoses and Procedural groupings and categorization. Experience with developing and maintaining clear and accurate routine and ad hoc analytical reporting, ensure and maintain data quality. Take initiatives in identifying data patterns, operational efficiency improvement opportunities, and/or issues. Experience with analytical tools and BI systems (MSSQL, SAS, Python, Databricks, AWS Quick Suite, Tableau, Business Objects, PowerBI etc.) in healthcare setting preferred. Experience with collecting, cleaning, manipulating, and analyzing data from various EHR sources. Familiarity with Epic Cogito data models or outpatient EHR data models preferred. Types of projects: Develop healthcare measures, reports, and analytics solutions surrounding the following main pillars: Access to Care, Referrals Management, Provider Productivity, Digital Experience, Virtual Care/Telemedicine Consult with business stakeholders: ask clarifying questions on reporting and analysis requests, create requirements documentation and perform project sizing to create project plan with ETA. Query and validate/QA the code and data, including root cause analysis for outliers and issues. Hybrid: In office expected for individuals within 60 Miles of Albuquerque every Tues, Wed, Thurs Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming Qualifications: Bachelors in a data and analytics affiliate field such as Business Statistics and Analysis, Business Administration, Finance, Information Systems, Computer Science or related. Three or more years of experience in data compilation, reporting and analytics utilizing data and analytics tools. Demonstrated skills to support a team through standard processes or projects. Must demonstrate strong analytical skills/capabilities and communication skills (verbal and written). Strong working knowledge and/or experience with Microsoft Office products and other analytical tools such as SAS, Business Objects, Tableau etc. Prior Business Objects, relational databases, and health care experience preferred. Excellent written and oral communications is a MUST. All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

The Department of Health Economics is seeking a Managing Actuary! This credentialed healthcare actuary would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies for UPMC Health Plan in close collaboration with leaders across the organization. This includes managing an experienced team responsible for analyzing medical cost utilization and unit cost data, developing strategies to improve experience relative to external benchmarks, evaluating and communicating leading indicators of financial performance, identifying top trend drivers and affordability opportunities, and supporting the development of strategies across cross-functional teams. The Managing Actuary will require a diverse set of skills and experience, including data and analytics expertise, a deep understanding of medical and pharmacy claims, broad-based business and health economics acumen, a strategic mindset, and an ability to influence and leverage cross-functional teams in a non-traditional actuarial environment. Strong organizational skills are essential to effectively manage multiple priorities, oversee complex projects, and ensure timely delivery of high-quality analytical outputs. This position will supervise 2-4 supporting staff, including actuarial analysts, in the performance of duties. As a Managing Actuary at UPMC, you will be given support for professional designations through continuing education opportunities. This is a work-from-home position located anywhere within the continental US with the potential for infrequent travel into Pittsburgh (up to 2-3 times a year) for meetings/conferences. Responsibilities: + Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving medical cost improvement strategies. + Direct a team to produce detailed actuarial and financial models which communicate drivers of financial performance of all lines of business to facilitate corporate decision-making and the development of strategies and goals. + Forecast and interpret financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks + Analyze trends in spending and utilization. + Develop and gain support for data-based recommendations with team members from product, clinical, network, and strategy functions. + Bring clarity to complex problems using exceptional communication skills when engaging with senior leadership and technical audiences. + Apply an understanding of complex actuarial concepts, methods, and applications in a variety of situations and deliver results to leadership. + Creatively leverage a wide range of datasets to inform key analyses. + Build strong relationships with Actuarial, Analytics, and Finance teams across the enterprise. + Ensure that departmental work products meet the highest standards of quality. + Manage and develop a team of 2-4 supporting staff including actuarial analysts. + Bachelor's degree in mathematics, statistics, actuarial science, economics, or related field required. + ASA or FSA certification by Society of Actuaries required; FSA preferred. + Six and a half (6.5) years of experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education. + Management experience preferred. + Experience with commercial and government health programs is preferred. + In-depth understanding of health insurance market dynamics. + Excellent problem-solving and analytical skills. + Excellent oral and written communication skills. + Adaptability and ability to prioritize effectively. + Strong PC skills. + Data retrieval skills and relational database experience. + Data visualization experience is preferred.Licensure, Certifications, and Clearances: + Licensure/Certification: ASA or FSA certification by Society of Actuaries required. + Membership in the American Academy of Actuaries required.UPMC is an Equal Opportunity Employer/Disability/Veteran

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: Voorhees - 100 Bowman Drive Remote Type: On-Site Employment Type: Employee Employment Classification: Per Diem Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 0 Additional Locations: Job Information: Please note all candidates must complete onsite testing in Marlton, NJ. Summary: Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities: Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and rules/conventions. Records coded include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Sequences principal (or first-listed) diagnosis and principal procedures according to documentation found in the medical records and UHDDS definitions. Utilizes ongoing knowledge and reference material regarding DRGs to validate DRG assignments. Accurately utilizes written federal and state regulations and written guidelines regarding definitions and prioritizing of abstract data elements to assure uniformity of database. Records abstracted include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Verifies and/or abstracts required data into computer system according to procedure. Utilizes equipment and processes appropriately, to ensure efficient coding and abstracting; utilizes the established downtime procedures as needed. Participates in maintaining DNB and accounts receivable goal. Maintains department level competencies. Participates in performance improvement activities. Position Qualifications Required / Experience Required: Minimum of two years inpatient records coding experience or equivalent. Ability to perform functions in a Microsoft Windows environment. Ability to be detailed oriented and perform tasks at a high level of accuracy. Ability to make sound decisions. Demonstrate good communication and team work skills. Previous experience with an electronic legal health record system preferred. Required Education: High School Diploma or GED required. Knowledge of Anatomy & Physiology/ Medical terminology required. Coding education preferred or equivalent in years of experience. Training/Certifications/Licensure: AHIMA Certification: Certified Coding Specialist (CCS) required for all employees hired after 10/1/2025. Non-CCS-Certified Hourly Rate: $26.22 - $40.65 Hourly Rate: $28.63 - $44.54 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.

9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of America Compensation Pay Range: Minimum Offer $: 95388.8 is up to $: 149364.8 Now hiring a Expert EPIC Configuration Analyst - Remote Eligible Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled EPIC Configuration Analyst. This position is responsible for in-depth knowledge of assigned Epic System software. This position conducts regular day-Expert EPIC Configuration Analyst - Shape the Future of Healthcare Technology Join a mission-driven organization where innovation meets impact. Presbyterian is looking for a highly skilled Epic Configuration Analyst to lead transformative work in healthcare technology. If you're passionate about optimizing systems that directly improve patient care and operational efficiency, this is your opportunity to make a difference. Position Overview: This role requires deep expertise in Epic System software and a strategic mindset. You'll collaborate closely with Epic, Subject Matter Experts (SMEs), and end users to design and tailor solutions that align with Presbyterian's evolving needs. Your work will directly influence how care is delivered across the organization. Key Responsibilities: Perform in-depth analysis of workflows, data structures, and technical challenges. Lead the design, build, testing, and maintenance of Epic solutions. Serve as a bridge between technical teams and clinical/business stakeholders. Continuously evaluate system performance and recommend enhancements. Type of Opportunity: Full time Job Exempt: Yes Job is based : Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America) Responsibilities: This role focuses on: Provide tier-2 support for Epic application incidents, including 24/7 on-call coverage as needed. Troubleshoot issues within and outside your application, resolve incidents, maintenance items, enhancement requests, upgrades, and projects. Advocate for customer needs and promote teamwork across teams. Modify Epic records, tables, and master files to support application design and changes. Develop and maintain requirements, specifications, and test cases for new or enhanced functionality. Ensure test scripts reflect workflow solutions and follow quality assurance processes including change management and testing. Demonstrate expert understanding of supported Epic applications and their integration with other systems. Analyze workflows, create new ones in collaboration with SMEs, and implement solutions that improve end-user productivity and effectiveness. Support training teams by communicating system changes and new functionality. Actively participate in team and cross-team meetings, facilitate discussions, and drive next steps. Mentor and guide other analysts, tailoring support to individual needs. Lead knowledge transfer efforts and serve as a go-to resource for team members and end users. Assist leadership in project scoping and timeline assessment. Create and deliver presentations to large cross-functional groups. Maintain strong communication and collaboration skills, identify and implement process improvements, and contribute to strategic planning and relationship-building with other Epic customers. Preferred Qualifications: Epic Professional Billing Certification Experience with claims and charge router functionality Hybrid: In office expected for individuals within 60 Miles of Albuquerque every Tues, Wed, Thurs Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming Qualifications: Bachelor's degree plus 3 years of IT or business experience. 3 years of Epic specific experience. 6 years' of additional experience can be substituted in lieu of degree. Epic certified in supporting application plus additional proficiency/certification/badges in related application area All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The Credentialing Data Coordinator will support the Medical Staff Services Credentialing team. This role involves collecting, verifying, and maintaining accurate records within the Credentialing system. Strong attention to detail, organizational skills, and the ability to handle confidential information are essential. Perform other administrative duties as assigned. Experience Required 2-3 years of Medical Staff Office, or related health care experience, preferred. Education Requirements High School/GED required. Associates preferred. Salary Min ($) USD $17.50 Salary Max ($) USD $27.00

Certified Medical Assistant/CMA - Alliance Women's Healthcare Clinic - Full-Time, Days - (26000246) Description Certified Medical Assistant/CMA - Alliance Women's Healthcare Clinic - Full-Time, DaysBring your passion to Texas Health so we are Better + Together**Sign-On for Eligible New Hires** Work location: 10600 North Riverside Drive, Alliance, TX 76244Work hours: Full-time, 40 hours weekly, Monday thru Friday, 8:00am - 5:00pm Alliance Women's Healthcare Clinic Highlights:If you have strong leadership and time management skills, this is the job for you!Our team has strong teamwork & collaboration Our clinic thrives in quickly learning new tasks and information Compassion and empathy to our patients and the team Qualifications Here's What You NeedHigh School Diploma or equivalent (required) CMA - Current Medical Assistant Certification Upon Hire (required) Medical Assistant experience (strongly preferred) OB/GYN experience (strongly preferred) ACLS or BCLS (preferred) NCT - Non-Certified Radiologic Technician training may be required upon hire (preferred) Ability to perform EKGs, draw blood and administer injections Basic computer skills using medical management application systems Effectively communicate with staff and patients Thorough knowledge of the meaning and use of medical terminology and abbreviations Demonstrate sound judgement in emergency situations Take appropriate action in urgent circumstances Maintain a positive, customer-focused attitude toward staff and patients Possess a strong work ethic and always display a high level of professionalism What You Will DoDelivers care to patients utilizing the Certified Medical Assistant ProcessPerforms general patient care by following established standards and procedures. Greets and prepares patients for the health care provider. Obtains and records vital signs including, but not limited to: blood pressure, temperature, pulse, respiration, height, weight, drug allergies, and current medications and presenting problem. Administers ordered medications and/or vaccines via oral, injection, topical, rectal, ophthalmic, and/or inhalant administration. May be required to draw and collect blood samples from patients and prepare specimens for laboratory analysis as well as perform routine tests such as EKG. Schedules patients for diagnostic testing and follows up to ensure completion of testing. Documents patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Communicates with patient regarding test results and plan of care by phone or mail as directed by physician. Prepares, cleans, and sterilizes instruments and maintains equipment, disposing of contaminated items according to protocol. Keeps patient exam rooms stocked, clean and orderly. Escalates non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s). Ensures safety checklists/quality controls are completed as required. Provides for patient safety and protection of patient privacy rights. May work in the front office as needed, as well as perform other duties as assigned by practice manager, more senior staff, or as requested by healthcare provider(s). Additional perks of being a Texas Health employee Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice. Strong Unit Based Council (UBC). A supportive, team environment with outstanding opportunities for growth. Learn more about our culture, benefits, and recent awards. Entity Highlights:Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex. THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work. If you're ready to join us in our mission to improve the health of our community, then let's show the world how we're even better together!Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth. org. #LI-CT1 Primary Location: AllianceOther Locations: Pecan Acres, Southlake, Dish, Coppell, Fairview, Double Oak, Krum, Newark, Copper Canyon, Rhome, Justin, Trophy Club, Watauga, North Richland Hills, New Fairview, Keller, Lake Dallas, Northlake, Azle, Highland Village, Lewisville, Argyle, Haslet, Ponder, Saginaw, Blue Mound, Denton, Corral City, Flower Mound, Grapevine, Roanoke, Bartonville, Westlake, Eagle MountainJob: Certified Medical AssistantOrganization: Texas Health Physicians Group 9250 Amberton Parkway TX 75243Job Posting: Jan 20, 2026, 1:00:36 AMShift: Day JobEmployee Status: RegularJob Type: StandardSchedule: Full-time

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides audits and reviews patient charts, corresponding ICD-10 CM, CPT-4 codes, modifiers, HCPCS codes, and charges for appropriateness. Provides reports to management of findings and recommendations for solutions. Identifies areas of improvement which will enhance internal controls and performance throughout Children's Healthcare of Atlanta. Proactively supports the efforts that ensure safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Works with management team to educate Coding staff on coding and documentation compliance. Experience Minimum of 5+ years professional auditing experience Preferred Qualifications Associates degree in Health Information Management or related field Education High school diploma or equivalent Certification Summary Minimum of one of the following: Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA) Certified Coding Specialist - Physician-based (CCS-P) Knowledge, Skills, and Abilities Knowledge of diagnosis-related group and ambulatory payment classification regulations Demonstrated knowledge of InterQual Criteria and Medicaid and managed care rules and regulations Strong analytical, organizational, and communication skills Job Responsibilities Manage inventory levels in Operating Room (OR & CVOR), ensuring adequate supply availability and minimal supply disruption. Manage Cath Lab and Interventional Radiology (IR) inventory levels to ensuring supply availability and minimal disruption to procedure areas. Conducts chart audits for compliance assessment and establishes coding policy and procedure. Prepares a report of findings for each audit along with an action plan. Records and monitors corrections to the bill. Assists in designing continued education to address deficiencies. Plans and organizes work assignments to complete audits in an efficient manner. Identifies problem situations or inadequate charge reconciliation procedures. Clearly documents information to support findings and conclusions. Keeps appropriate management personnel informed of any problems or unusual circumstances on a timely basis. Facilitates improvement in the overall quality and completeness of medical records documentation. Provides documentation education. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address Used for remote worker assignment Job Family Coding

UPMC is hiring a full-time Sr. Diabetes Educator, CDCES to join their Maternal Fetal Medicine office at Magee Women's Hospital! This is an American Diabetes Association, Education Recognition Program with our hospital outpatient maternal fetal medicine diabetes center that specializes in blood sugar management for pregnant patients with diabetes. The Sr. Diabetes Educator provides diabetes education in outpatient setting and manages diabetes care according to standards and in consultation with the physician (when needed). Hours for this position will start with Monday through Friday, daylight hours, with the option to transition to 4 10-hour shifts after orientation and training. This position will also allow for some work from home flexibility after completion of orientation. No evenings, weekends, or holidays! Previous Dietitian experience is preferred but not required. Responsibilities: + Provides education according to the National Standards for Diabetes Self-Management Education in association with all aspects of health care for the person with diabetes. + Demonstrates a service-oriented approach to her/his position by conveying courtesy, respect, enthusiasm and a positive attitude. + Instructs patients and family members/significant others in the implementation of Healthy lifestyles, Blood glucose testing, Medication management, Risk reduction, Insulin administration, Insulin pumps + Accurately documents all patient interactions and ensures appropriate and complete billing for diabetes education services + Educators are expected to provide training and updates on diabetes education to staff. + Manages on-going care for patients (consulting with physician as appropriate) by answering questions, reviewing home glucose monitoring results, reviewing diabetes medications accordingly and monitoring glycemic control + Provides support services for diabetes care/education when applicable. + Act as a resource/advisor for new Diabetes Educators + Assesses diabetes patients' educational needs and create a care plan in outpatient, inpatient or community setting + Participates in achieving/maintaining American Diabetes Association Recognition of Health System's educational programs in outpatient, inpatient or community setting + Adjusts medication/insulin doses according to established protocols. + Bachelor's Degree in Nursing or related health care field required + Minimum of 3 years of clinical experience Experience in diabetes education strongly recommended Must obtain a Solid/Strong/Good or higher on a Performance Evaluation to be promoted to this level. Must maintain a Solid/Strong/Good or higher on annual performance evaluation to maintain status. Annual completion of a VP approved professional contribution selected from one of the corporate goals. Must have VP approval for promotion. Licensure, Certifications, and Clearances: BLS or CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire + ACSM Certified Exercise Physiologist (ASCM-CEP) OR Doctor of Medicine (MD) OR Doctor of Osteopathic Medicine (DO) OR Doctor of Podiatric Medicine OR Licensed Master Social Work (LMSW) OR Master Certified Health Education Specialist (MCHES) OR Occupational Therapist (OT) OR Optometrist OR Pharmacist OR Physical Therapist (PT) OR Physician Assistant Certified (NCCPA) OR Psychologist OR Registered Dietitian (RD) OR Registered Dietitian Nutritionist (RDN) OR Registered Nurse (RN) + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Diabetes Care and Education Specialist (CDCES) *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. The West Virginia University Health System, the state's largest health system and largest private employer, comprises 18 hospitals throughout the state and bordering states. In addition, it includes five institutes, as well as providing management services for other local hospitals through affiliate agreements. Whether you are caring for our patients at one of the critical access hospitals, community sites, regional or academic medical centers, we are all one WVU Health System. Work Here. Thrive Here. Additional Job Description: WVUHS Medical Group seeks Radiologists to join our growing team across West Virginia, Pennsylvania and Ohio. Duties: The successful candidate will practice in the area of Radiology. Highlights of the position are: Fully remote Covering WVU Medicine Community Hospitals Additional earning opportunities Qualifications: Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical license in Ohio, Pennsylvania and Ohio. Successful candidate must have completed a Radiology Residency program and be board certified/eligible in Radiology. All qualifications must be met by the time of appointment. WVU Health System Highlights: Forbes ranks WVU Health System “Best Among America's Large Employers” Ranked Top 150 Places to Work in healthcare by Becker's Healthcare Ranked within the top 100 Forbes 2023 list of “America's Best Employers for Women” Recognized Commitment to Diversity, Equity, and Inclusion Apply online at: ****************************** For additional information, please contact Sonya Petry, Senior Physician Recruiter & Talent Advisor, at ***************************. Fayette Physician Network, Inc. d/b/a WVUHS Medical Group is an AA/EO employer - Minority/Female/Disability/Veteran Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: SMG System Medical Group Cost Center: 7994 SMG Teleradiology Multi Locations

Join our Health Economics Team as a Senior Project Manager to advance data and analytics projects that elevate how UPMC Health Plan uses insights to make smart, timely decisions. You'll drive end‑to‑end delivery, ranging from framing scope, aligning stakeholders, removing roadblocks, and building plans that turn complex data work into business outcomes all while partnering with analysts, data integration developers, and business leaders. We're seeking a team member that is curious, growth‑minded, provides leadership, thrives through change, and translates technical details into clear, actionable plans. We are seeking a team player who builds momentum, removes roadblocks, and brings out the best in your colleagues while keeping the work organized, transparent, and measurable. If you love driving real impact, enjoy collaborating with analytic peers, and want to have some fun along the way, we'd love to meet you. Define and develop overall project objectives, scope and work plan and reviews and confirm with the internal client. Recognize and anticipate scope and other project issues and communicate to internal client and project team as well as takes appropriate measures. Anticipates key business issues, leverage solutions from dependent and related projects and generate new perspectives, frameworks or innovations that enable problem resolution. Systematically assess and then convey pros and cons of alternative solutions to complex, sophisticated, and sensitive issues and achieves consensus on direction/ approach. Anticipate and define barriers to change with internal clients; devise plans to address change barriers and ensure acceptance of the change process. Dynamically lead presentations/work sessions to positively influence decisions and perceptions. Manage in ambiguous situations with minimal direction, and build, direct and maintain motivated and diverse teams. Within the context of larger projects, supervision of project managers may be required. (added) These services will be provided in compliance with state and federal regulations, NCQA standards, and the mission, policies and procedures of the Health Plan and the Project Management Office. Demonstrate professionalism and commitment to meet UPMC Health Plan goals and objectives. Responsibilities: + Establish deliverable structure and content outline. + Inform others of new and emerging topics/trends, technologies, and capabilities. + Participate in the development of new tools and resources. + Demonstrate ability to prepare sensitive information and communication it directly to senior management. + Understand, analyze, and structure undefined, complex, and politically sensitive projects. + Recognize and anticipate scope issues and communicate to internal client and team changes to the work plan. + Prioritize tasks based on relative importance and urgency and identify dependencies across projects. + Cooperate close with business leaders and/or relevant experts in resolving issues. + Leverage solutions from dependent and related projects. + Build follow-up mechanism/maintenance plan into project deliverables to ensure that changes to be implemented will be sustainable. + Identify and mitigate business risks associated with projects. + Build consensus between departments and business units. + Define and develop overall project objectives, scope and work plan and review and confirm with internal client. + Stimulate strategic thinking by internal clients. + Anticipate project issues, assess alternatives, and take appropriate measures to resolve in a professional, tactful manner. + Manage a large number of responsibilities in the face of competing priorities. + Participate in and/or lead the comprehensive review of the projects being managed by other project managers; accurately assess project status and develop appropriate recommendations and assessment documents. + Generate new perspectives, frameworks or innovations that enable problem resolution. + Ensure deliverables meet business objective, design specifications and quality standards. + Systematically convey pros and cons of alternative solutions to complex, sophisticated, and sensitive issues and achieve consensus on direction/ approach. + Generate innovative ideas which are strategically sound and challenge the status quo. + Plan and execute communication of complex information to team members and stakeholder groups. + Effectively lead large project teams and/or high-priority efforts to high-quality results. + Create an environment that fosters compliance with accepted PMO methodologies and reflects industry best practice. + Dynamically lead presentations/work sessions to positively influence decisions and perceptions. + Ensure that the most appropriate and efficient tools and techniques are selected and applied in accordance with project scope and time constraints. + Define alternative/compromise solutions that address others' fundamental concerns and impacts on long-term relationships. + Operate effectively in a fast changing environment. + Manage in ambiguous situations with minimal direction. + Analyze the training needs of project teams and identify relevant training material/ courses to address these needs. + Provide industry knowledge to projects. + Anticipate key business issues, and implement comprehensive recommendations to achieve desire outcome. + Anticipate and define barriers to change with internal client; devise plans to address change barriers and ensure acceptance of the change process. + Become recognized as a valued thought-partner by internal clients. + Recognize and act decisively in urgent matters; make tough decision which may influence the direction of the project. + Direct and execute creative analytic approaches/ create new or adapt existing analytical methods and tools to solve problems. + Successfully build, direct and maintain motivated, empowered and diverse teams. + Establish a mentoring environment. + Ensure business value has been delivered. + Plan, organize and control multiple responsibilities and cross-functional resources and ensure that the most appropriate resources are assigned to specific project roles. + Delegate appropriate level of autonomy and decision - ensure that project issues are promptly and effectively handled and quality of work is achieved. + B.S. degree in Business, Mathematics, statistics, Health Care, Management, or related field. + Master's degree preferred (extensive related experience will be considered. + 5 years of project management experience. + Experience in health care insurance or health care industry preferred. + Excellent computer skills required, including Access, Excel, Microsoft Project, and other pertinent computer software packages. + Strong management, problem solving, organizational, and communication skills (oral and written) are required. + Excellent Project Management skills along with effective planning and organizational skills. + Ability to perform planning for large initiatives/projects, managing all tasks required to provide services to meet client and business needs within budget and targeted deadlines.Licensure, Certifications, and Clearances:Minimum of PMP, PM, or Six Sigma Certificate with advanced project management certification strongly preferred.UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst Intermediate! The Clinical Auditor/Analyst Intermediate is an integral part of the Special Investigations Unit (SIU) and is responsible for conducting clinical audits and reviews regarding the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This role also acts as a SME for the department in representing management in meetings, training new staff and auditing peers. Collects program data to monitor/ensure compliance requirements and establishes and revises better best practice within the department. The Clinical Auditor/Analyst Intermediate creates, maintains and analyzes auditing reports related to their assigned work plan and communicates the results with management. Other responsibilities include but are not limited to analysis of controlled substance prescribing and utilization to identify potential clinical care issues; prepayment review of claims, and prepayment review of unlisted codes. Claims analysis and the use of fraud and abuse detection software tools will be an integral part of the function of this position. Responsibilities will involve working in collaboration with appropriate Health Plan departments including Quality Improvement, Legal, and Medical Management to facilitate the resolution of issue or cases. Responsibilities may involve multiple line of business focused reviews, or ad hoc reviews as needed; analysis of billing by providers/physicians, and providing trending, analysis and reporting of auditing data. The Clinical Auditor/Analyst Intermediate will routinely interact with providers, law enforcement and/or regulatory entities in the course of their duties. Responsibilities: + Respond to fraud, waste, and abuse referrals and/or complete data analysis and related audits as assigned. + Utilize fraud detection software to assess and monitor for potential FWA. + Review and analyze claims, medical records and associated processes related to the appropriateness of coding, clinical care, documentation, and health plan business rules. + Provide a clinical opinion for special projects or various issues including appropriate utilization of controlled substances, prescribing of controlled substances, or medically appropriate services. + Query medical and/or pharmacy claims and conduct a risk assessment by performing data analysis and applying applicable coding guidelines, Health Plan policies and any applicable National Coverage Determination (NCD) or Local Coverage Determination (LCD). + Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and associated clinical documentation in HealthPlaNET, Mars, Epic and/or Cerner. + Complete audits by utilizing standard coding guidelines and principles and coding clinics to verify that the appropriate CPT codes/DRGs were assigned and supported in the medical record documentation. + Attend in person or virtual recipient restriction hearings. + Review Medical Pended Queue claims to understand and resolve claim referral issues through research and interaction with other Health Plan Departments including Medical Management, Medical Directors, various committees, and other appropriate Health Plan departments. + As necessary, assist in the development of new policies concerning future Health Plan payment of identified issue. + Assess, investigate and resolve complex issues. + Write concise written reports including statistical data for communication to other areas of UPMC Health Plan and to communicate with department heads for identification of various problem issues, how they affect the Health Plan, and to make recommendations for resolution of the issue. + Identify error trends to determine appropriate training needs and suggest modifications to company policies and procedures. + Conduct provider education, as necessary, regarding audit results. Communicate effectively with Medical Directors and ancillary departments as necessary to address issues and concerns. + Participate as needed in special projects and other auditing activities. Provide assistance to other departments as requested. + Understand customers including internal Health Plan Departments (i.e. Claims staff, Customer Service, Marketing, etc.) and external customers (i.e. Health System Internal Audit, Client Audit teams) to understand issues, identify solutions and facilitate resolution. + Serve as an SIU representative at internal and external meetings, document and present findings to SIU Staff and document as appropriate in the SIU FWA Case Management Database. + Assist in the development and revision of SIU policies and procedures. Identify trends for improvements internally, such as claims payment, to determine appropriate training needs and suggest modification to company policies and procedures. + Perform audit peer reviews for Clinical Auditor/Analysts. + Provide new-hire training to Clinical Auditor/Analysts. Performing administrative appeals/preparing medical necessity appeals for Medical Directors for second level appeals. Participate in training programs to develop a thorough understanding of the materials presented. + Obtain CPE or CEUs to maintain nursing license, and/or professional designations. + Design and maintain reports, auditing tools and related documentation. Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. Registered Nurse (RN). Bachelor of Science in Nursing (BSN) or the equivalent combination of education, professional training and work experience. Five years of clinical experience. Three years of fraud & abuse, auditing, case management, quality review or chart auditing experience required. Ability to analyze data, maintain designated production standards, and organize multiple projects and tasks. In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding. Knowledge of health insurance products and various lines of business. Detail-oriented individual with excellent organizational skills. Keyboard dexterity and accuracy. High level of oral and written communication skills. Proficiency with Microsoft Office products (Excel, Access, OneDrive, OneNote and Word). Licensure, Certifications, and Clearances: AAPC or AHIMA Certified (CPC, CPMA, CIC, CCA, CCS, CCS-P) or AHFI designation required. + Registered Nurse (RN) + Act 33 with renewal + Act 34 with renewal + Act 73 FBI Clearance with renewal *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

Athletic Trainer - Sports Medicine - PRN, Rotating Schedule - (25013394) Description Athletic Trainer - Sports Medicine - PRN, Rotating Schedule Bring your passion to Texas Health so we are Better + Together Work environment: Rotating to Various Community Locations Work hours: PRN; Rotating Schedule, including Nights and Weekends Sports Medicine Department Highlights: Flexible Schedule Annual Success Sharing Bonus 401K match for PRN employees Qualifications Here's What You Need Bachelor's Degree (required) LAT - Licensed Athletic Trainer Upon Hire (required) BCLS Upon Hire and maintained Quarterly (required) Six months' Athletic Trainer Experience (preferred) Good communication skills, self-directed What You Will Do Prevent and treat injuries using appropriate medical protocols; assist in developing and monitoring rehabilitation and conditioning programs, using physical therapy modalities. Apply preventative and protective devices: customize and fabricate preventative and devices for specialized needs. Work with companies to supply necessary care established in contractual agreements. Establish preliminary care plan: complete injury evaluation for referral to appropriate health care provider. Assists department with program development, training new hires, timely monthly reports; Coordination of MD/NP for onsite lectures/visits. Additional perks of being a Texas Health employee Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice. Strong Unit Based Council (UBC). A supportive, team environment with outstanding opportunities for growth. Learn more about our culture, benefits, and recent awards. Entity Highlights: Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex. THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work. If you're ready to join us in our mission to improve the health of our community, then let's show the world how we're even better together! Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org. #LI-CT1 Primary Location: DallasOther Locations: Hurst, Pecan Acres, McKinney, Talty, Double Oak, Hebron, Lucas, Hawk Cove, Allen, Paradise, Boyd, Van Alstyne, North Richland Hills, Dennis, Caddo Mills, Edgecliff Village, Azle, Highland Village, Willow Park, Red Oak, Ponder, University Park, The Colony, Briaroaks, McLendon Chisholm, Pelican Bay, Aledo, Millsap, Richland Hills, Chico, Farmers Branch, Josephine, Rowlett, Everman, Hutchins, Midlothian, Watauga, Burleson, Cedar Hill, Mansfield, Combine, Celina, Nevada, Saginaw, Weston, Reno, Quinlan, West Tawakoni, Sherman, Fate, Keene, Mobile City, Sunnyvale, White Settlement, Alvarado, Cooper, Krum, Newark, Corinth, River Oaks, Rhome, Westover Hills, Forest Hill, Knollwood, New Fairview, Alliance, Fort Worth, Godley, Lake Dallas, Northlake, Duncanville, Argyle, Crandall, Corral City, Flower Mound, Glen Rose, Rosser, Plano, Wolfe City, Anna, Sanctuary, Aurora, Gun Barrel City, Lavon, Frisco, Oak Ridge, Lakewood Village, Oak Leaf, Sachse, Stephenville, Granbury, Cross Roads, Grays Prairie, Keller, Decatur, Haltom City, Lincoln Park, Cleburne, Lewisville, Shady Shores, Blue Mound, Bardwell, Grapevine, Crowley, Palmer, Scurry, Briar, Dish, Heath, Terrell, Pecan Hill, Mesquite, Blue Ridge, Irving, DeCordova, Lowry Crossing, Arlington, Springtown, Parker, Pilot Point, Melissa, Weatherford, Union Valley, Prosper, Ennis, Hudson Oaks, Richardson, Highland Park, Maypearl, Addison, Bridgeport, Eagle Mountain, Celeste, Fairview, Providence Village, Mineral Wells, Waxahachie, Rockwall, Venus, Benbrook, Campbell, Italy, Royse City, Post Oak Bend City, Milford, Kemp, Carrollton, Rendon, Murphy, Commerce, Ferris, Farmersville, Joshua, Sanger, Westlake, Colleyville, Cockrell Hill, Krugerville, Coppell, New Hope, Alvord, Copper Canyon, Garrett, DeSoto, Cool, Trophy Club, Kennedale, Westworth Village, Rio Vista, Alma, Wylie, Runaway Bay, Annetta, Lakeside, Euless, Oak Grove, Neylandville, Wilmer, Kaufman, Roanoke, Cottonwood, Glenn Heights, Lake Bridgeport, Cross Timber, Southlake, Greenville, Forney, Lancaster, Expedited, Balch Springs, Aubrey, Garland, Justin, Cresson, Grandview, Saint Paul, Oak Point, Bedford, Lake Worth, Seagoville, Pantego, Haslet, Grand Prairie, Little Elm, Denton, Leonard, Sansom Park, Ovilla, Bartonville, Hickory Creek, Dalworthington Gardens, Mabank, HackberryJob: Allied HealthOrganization: Texas Health Physicians Group 9250 Amberton Parkway TX 75243Travel: NoJob Posting: Dec 26, 2025, 6:25:00 PMShift: RotatingEmployee Status: RegularJob Type: StandardSchedule: Per Diem

Join our Medical Oncology team as a Financial Counselor in Monroeville, PA! Are you a skilled medical office professional looking to broaden your horizons? We have an exciting opportunity for a Financial Counselor who will not only work in the front office but also play a crucial role in ensuring patients receive the care they need. If you're passionate about healthcare, finance, and teamwork, read on! As a Financial Counselor, you'll be at the forefront of patient care, ensuring that insurance benefits are verified, authorizations are obtained, and financial assistance is explored. Your expertise will contribute to a seamless patient experience, and your ability to collaborate with various departments will make a significant impact. _Why Join Our Team?_ + Teamwork: At our oncology office in Monroeville, teamwork is at the heart of what we do. Collaborating with colleagues and providers is essential for success. + Work-Life Balance: This full-time position offers regular hours-Monday through Friday, 8:00 am to 4:30 pm. No evenings, holidays, or weekends! + Work from home flexibility will be available once training is completed. + Impact: Your work directly impacts patients' lives. You'll be part of a compassionate team dedicated to making a difference. Ready for the challenge? Apply online today and be part of our mission to provide exceptional care at Hillman Cancer Center! Responsibilities: + Obtain initial and subsequent prior authorization/referrals as required by specific payers. + Secure verification of insurance benefits prior to office visits and required treatments. + Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage. + Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients. + Assists with other office functions as required. + Ability to work in a team environment. + Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available. + Demonstrate the ability to solve problems through effective communication. + Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers. + Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations. + Meet with patients and designated family members to discuss billing issues. + Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered. + Completion of High school diploma or GED + 3 years work experience, preferably in a medical office setting + Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws + Word processing and computer experience required preferably including EPIC experience.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

The University of Pittsburgh Medical Center (UPMC) in Altoona, PA is seeking a General Radiologist to join our world class health system. Option for tele-radiology or on-site as well as full-time or part-time positions. Candidate must be residency trained in general radiology. About the Position + Flexible Scheduling + Full or part time + Join a group of 19 Radiologists including, 6 Neuroradiology/MSK/Body Imaging, 2 Mammographers (one part time), 2 Interventional Radiologists, 2 Nuclear Medicine/PET Radiologists, Physician extenders and several nurses + Option for an academic appointment if desired + Live in a great community while having the support of UPMC through teleradiology. The UPMC Department of Radiology is one of the largest academic departments in the country with over 184 Radiologists, 31 research faculty, 67 residents and fellows. + Visa sponsorship + Phillips iSite and Powerscibe which will convert to Phillips Vue PACS. Cerner is used as the inpatient EMR and EPIC as the outpatient. Will be all EPIC fall 2025. What we Offer + Earning potential $700K plus + Sign-on bonus + Competitive base salary commensurate with experience plus lucrative incentive plan + Relocation expenses + Outstanding benefit package including health, dental, vision and pension + Option to earn significant additional income + CME allowance + Work at a busy community hospital + Employed by UPMC Altoona Regional Health System About UPMC Altoona and UPMC + Part of the University of Pittsburgh Medical Center's 40+ hospital network + 400-bed regional tertiary health care system for residents in central Pennsylvania + Joint Commission certified thrombectomy capable stroke center with 24/7 care and a renowned interventional neurology program + Other signature services include Level lll Trauma Center, UPMC Hillman Cancer Center, UPMC Heart & Vascular Institute, UPMC Magee Womens + 400 primary care and specialty credentialed physicians on medical staff + 'A' patient safety grade in Leapfrog's most recent hospital safety survey + 4-star quality hospital, as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of Excellence award recipient by the American College of Cardiology. + UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians + Over 40 academic, community and specialty hospitals + Over 800 doctors' offices and outpatient sites + UPMC is inventing new models of accountable, cost-effective, patient-centered care + Closely affiliated with the University of Pittsburgh About the Community + Choose to live in the Altoona/Hollidaysburg area or State College (hometown of Penn State University's main campus). Both communities offer safe and enriching environments to enjoy work/life balance + Located in the Altoona/Blair County/Central Pennsylvania region + Very reasonable cost of living + Excellent school systems + Abundant cultural amenities including theatre, symphony, minor league baseball, transportation history, festivals, Big10 sports and national touring performing artists + Centrally located with easy access to larger, neighboring cities. Between 40 minutes to 4.5 hours to major cities including Pittsburgh, State College, Philadelphia, DC, and NYC. + Mountains to climb and ski, rivers and lakes to paddle and fish, trails and roadways to bike, numerous golf courses, tennis and pickle ball courts - right here! + Everything you need within a 15-minute drive - no rush hour traffic, no parking fees Must have an MD or equivalent, be BC or BE in Radiology with the ability to obtain an unrestricted PA license.

9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of America Compensation Pay Range: Minimum Offer $: 72134.4 is up to $: 110136 Now hiring a Senior Business System Analyst - Remote Eligible Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Business System Analyst to formulate and define systems scope and objectives based on both user needs and a good understanding of applicable business systems and industry requirements. Devises or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results. Type of Opportunity: Full time Job Exempt: Yes Job is based : Reverend Hugh Cooper Administrative Center Work Shift: Weekday Schedule Monday-Friday (United States of America) Responsibilities: This position includes analysis of business and user needs, documentation of requirements, and translation into proper system requirement specifications. Competent to work at the highest level of most phases of systems analysis while considering the business implications of the application of technology to the current and future business environment Hybrid: In office expected for individuals within 60 Miles of Albuquerque every Tues, Wed, Thurs Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming Some key responsibilities include: Acts as primary liaison between the application team and the user community, responsible for facilitating communications, coordinating system enhancements, and providing production support. Works with user community to define business requirements in sufficient detail that systems configuration, development/enhancement, and/or operations activities can be pursued. Guides user community to define business use cases in sufficient detail that subsequent quality assurance efforts can guarantee system changes/enhancements satisfy the business requirements.. Guides internal quality assurance efforts to verify functional system behavior. Guides the user community to coordinate quality assurance and acceptance testing efforts to verify functional system behavior. Guides other staff to educate/train members of the user community in proper and effective use of the application system. Provides implementation support for software components of moderate to high complexity Provides production support for software components of moderate to high complexity Qualifications: Bachelor s degree in related technical/business area plus 4 years of IT or business experience. 6 years of additional experience can be substituted in lieu of degree. Advanced knowledge of Systems Analysis with focus on customer requirements and concepts of the software development lifecycle Preferred Qualifications: Experience in healthcare (Health Plan) domain Experience with writing SQL queries, research issue and analyze data Experience in Health Plan EDI mapping and processing include but not limited to 278/837/834/820/835. Experience with writing Business Requirements Documents and EDI Guides. Multi Tasker, Detail Oriented, Able to adapt to new Systems easily, Documentation, Good with EXCEL All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of America Compensation Pay Range: Minimum Offer $: 83366.4 is up to $: 127275.2 Now hiring a Business Analytic Consultant - Remote Eligible Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Business Analytics Consultant to contribute to portfolio of reporting/analytics solutions across the business units in the analytics organization. Identify business issues/problems, form hypotheses, plan and conduct interviews, whiteboard sessions & perform reporting/analysis to synthesize conclusions, transform them into recommendations and develop a solution. Participate in small cross functional team to implement, test and deploy the approved reporting/analytics solution in response to the business (clinical/operational/financial) needs. Identify reporting/analytics improvement opportunities and provide proactive, consultative strategic solutions. Responsible for coordinating various reporting/analytics initiatives with end business users. Support reporting/analytics projects prioritization and planning as well as cconduct due diligence concerning business implications of planned solutions. Type of Opportunity: Full time Job Exempt: Yes Job is based : Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America) Responsibilities: Preferred Skills and Experience: Working knowledge of EPIC workflows and database reporting structures (Clarity, Caboodle, Slicer Dicer, Databricks, etc.) Experience providing analytical insights for Hospital Inpatient/Outpatient and Emergency department patient care. Understanding of nursing and provider staffing for hospitals and emergency departments a plus Ability to translate data into actionable insights through clear data storytelling to improve patient flow Experience managing and monitoring demand requests using intake tools (e.g., ServiceNow) Strong organizational skills with the ability to manage multiple tasks, milestones, deadlines, and projects simultaneously Proficient in creating MS SQL code to retrieve and analyze data Experience using SAS Enterprise Guide preferred Working knowledge of business intelligence tools such as Tableau, Amazon QuickSight, and Business Objects Types of projects they will work on: Facilitate analytics requests from business teams to track performance on targeted initiatives and milestones Partner with business and operational teams to provide analytics supporting patient flow improvements Consult on and manage the development of dashboards for business stakeholders Translate raw data into actionable insights using clear data storytelling techniques Capture and articulate actionable insights using clear data storytelling techniques to business stakeholders Serve as a project or team lead for initiatives involving cross‑functional partners Hybrid: In office expected for individuals within 60 Miles of Albuquerque every Tues, Wed, Thurs Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming. Qualifications: Bachelors degree in a quantitative, business, or healthcare related subject. A Masters degree is highly preferred. Three or more years of combined experience in business intelligence, reporting and analytics preferably in a healthcare setting. Demonstrated project management skills as well as the ability to efficiently work with teams and resources. Experience working on complex analytical projects with diverse teams and developing data driven and outcome based initiatives to improve business decision making and operational efficiencies. Knowledge of health plan and delivery system operations, health care informatics, and healthcare benefits and terminology (e.g., care management). Understanding of operations in the Health Care industry and a strong acumen of business processes, including operations, delivery models and revenue models a plus. Understanding of program evaluation life cycle, predictive modeling, data mining, and clinical best practices preferred. Content knowledge related to program outcomes evaluation, BI tools (e.g., BO), data visualizations tools (e.g., Tableau), statistical software such as SAS and Modeling techniques, as well as general health service research and outcomes reporting/analytics. Working knowledge of healthcare industry and healthcare information standards such as HL7, LOINC, FHIR, ICD 9/10 and CPT codes, industry standard groupers (e.g., ETGs, DRGs, DCGs, etc.) as well as of health care delivery system processes. Excellent written and oral communications is a MUST. All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

Our Mission To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. Schedule: Full Time About Us - Physician Reimbursement Center (PRC) Located inside the Freeman Business Center Vital part of our revenue cycle Our team consists of over eighty professionals that assure reimbursement for the valued services our clinicians provide What You'll Do Performs a variety of duties in coordination of the coding accuracy, quality assurance, compliance functions, and charge appropriateness for Freeman Health System. Performs chart reviews to ensure medical record accurately reflects the patient's level of service based on Evaluation and Management (E/M) service guidelines. Works closely with physicians to clarify, assist, and educate with documentation. Assignments include teaching, coaching, and championing staff assigned to achieve departmental goals. Requirements Attends all required educational seminars related to coding/reimbursement as requested by supervisor. Coding certification (AHIMA or AAPC) Current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse's state of residence. If homebound, must reside in one of the following states: Arkansas, Kansas, Missouri, or Oklahoma. Minimum of 3 years of clinical experience in an acute care or office setting Preferred Requirements Experience in ICU, Medical/Surgical or Office preferred Experience in Meditech and/or Group Management Freeman Perks and Programs For eligible full time and part time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one! Health, vision, dental insurance Retirement with employer match Wellness program with discounts to Health Insurance or Cash Bonus with Participation Milestone payments with longevity of employment Paid Time Off (PTO) or Flex time off (FTO) Extended sick pay Learning Center designated only for Freeman Family members Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc #LI-DNI

Permanent Radiology - Diagnostic - Seneca, PA - Full Time Days - Pay Negotiable - Seneca, PA Employer: UPMC Northwest Job Type: Permanent Shift: Full Time Days We are excited to share our exceptional opportunities for Radiologists to join a well-established group with unlimited potential to grow! UPMC is currently seeking Diagnostic and Interventional Radiologists for positions in Northwest Pennsylvania and Western New York. Locations include Erie, PA, Seneca, PA, and Jamestown, NY. Position Highlights All opportunities offer: Generous signing incentive Competitive base salary commensurate with experience/training Enhanced compensation package with opportunity to earn incentives Non-Profit Health System, Employed Model *PSLF Eligible Paid time off, CME days, and CME stipend Paid Parental Leave Short and long-term disability Robust retirement plans Tuition assistance for self, dependent and/or spouse/domestic partner Customary and reasonable moving expenses Diagnostic Radiologist - Seneca, PA $100,000 sign on bonus for full-time onsite employment $50,000 sign on bonus for 50/50 split onsite/remote work Monday \u2013 Friday: Day shifts Weekend rotation via teleradiology (not required to be onsite), no traveling between sites Enhanced Compensation Package Includes: Productivity Incentive, Quality Incentive, Paid Time Off, CME Days, and CME Stipend A rewarding career with a sustainable balance between professional goals and personal life All modalities: CT, MRI, Ultrasound, Nuclear Medicine, Diagnostic Radiology Procedures: Fluoroscopy, Myelogram, Paracentesis, Thoracentesis, Thyroid biopsy, Lumbar puncture H1B candidates welcome to apply Benefits Paid occurrence-based malpractice insurance Medical, dental and vision insurance Group Life insurance About the Community Located in Western Pennsylvania, about halfway between Pittsburgh and Erie and less than 3 hours from these major cities, Akron, OH; Buffalo, NY; Cleveland, OH; Morgantown, WV; State College, PA; and Youngstown, OH, via interstate highways. While Venango County is a great place to do business, it is also a great place to live and have fun! With the low cost of living and family atmosphere, you are sure to find something that interests you, whether it be theatre, trails, golfing, water recreation, art or parks Venango County has it all! Upon applying, StaffDNA will connect you directly with the hiring decision-maker-whether that's the facility manager or their dedicated recruiter-to discuss this opportunity in detail and outline your next steps.

About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The auditor reviews professional fee billing, coding and documentation. Reviews to be performed are identified based on the then-current OIG Workplan and compliance risk analyses. Customers include employed providers, senior leadership, clinical and non-clinical staff of Cooper University Health Care. Under the supervision of the Chief Compliance Officer, auditors are responsible for supporting the corporate compliance program, responsibilities include: Performance of timely and effective compliance and operational reviews to assess coding, documentation and billing accuracy, identify compliance related risks, internal control weaknesses, revenue capture opportunities and assist in determining the root cause of any identified non-compliance with government rules and regulations, state laws and Cooper policies and procedures Preparatory work for reviews/audits including developing a scope of work. Reviewing available documentation. Analyze/review audit data and prepare reports for review and presentation to management, providers and departments, making recommendations for improvement Determine charge corrections and refunds resulting from compliance reviews and ensure they have been completed. Post-review/audit education/training when applicable. Performing follow-up reviews when necessary. Ensuring appropriate work papers, either paper or electronic, are maintained in accordance with regulations/policy Assist in the development of policies and procedures that establish standards for compliance, as well as preparation of other guidance documents and tools to assist Coper providers and staff in appropriate billing, coding and documentation. Serve as liaison for questions, concerns, incidents and complaints regarding compliance matters, responding directly to the inquiry and/or consulting or interacting with other team members or departments. Inform Chief Compliance Officer of major findings; based on types of questions/concerns received, recommend remedial correction and prevention actions; identify education/awareness opportunities and guidance topics Work with all levels within the organization to ensure that internal controls throughout the system provide for accurate, complete and compliance program and processes Experience Required 3+ years' experience in an academic medical center preferred, with emphasis on provider compliance activities, including but not limited to: auditing, monitoring, investigation and training Demonstrated knowledge and understanding of provider professional fee billing, coding and documentation practices in inpatient and outpatient settings. Demonstrated expertise in medical terminology. Demonstrated expertise in healthcare coding (CPT, ICD-9, ICD-10, APC, HCPCS). Demonstrated knowledge and understanding of HIPAA rules and regulations affecting the management of confidential protected health information (PHI). Demonstrated knowledge and understanding of federal and state statutes, laws, rules and regulations affecting billing, coding and documentation practices in support of healthcare services provided to beneficiaries of federally-funded healthcare programs and other third party payers. Demonstrated knowledge and understanding of the essential elements of an effective compliance program Working knowledge and understanding of: - provider professional fee revenue cycle and reimbursement. - electronic billing and medical record systems - sampling technologies and statistical analyses .Experience using personal computers required. Experience using the following applications is desirable: Word, Excel, e-mail, and healthcare related billing systems. Experience using MDAudit audit software and/or EPIC EMR desirable Education Requirements Current certification as a CPC or COC License/Certification Requirements Current CPC or COC Valid driver's license and automobile insurance per company policy Salary Min ($) USD $36.00 Salary Max ($) USD $59.00